hey everybody it's doctor Jo, and today I'm going to show you how to use a TENS /
EMS unit for elbow pain like tennis elbow or golfer's elbow. so let's get started.
the folks at Healthmate forever sent me their PRO18AB and their W19, which is
the wireless one, so it's really cool because if you are putting it on an area
your elbow or even your back, your knee, and you want to go somewhere, it's nice
that you don't have all that wiring. but you can use this unit with the wiring
ones as well. so I'm going to show you both for the elbow, but we'll start off
with the wireless one. and so the wireless like I said is really cool
because you can kind of stick it on and you don't have a whole bunch of other
stuff with you. so these are the little wireless buttons here, and they go on
with specific pads so the pad comes with it, and the coolest part is you can
get two and it will control two. so I'm just going to show you with the one
because they come in sets of one and so you just kind of snap it on like that
and make sure you have everything off while you're getting it set up. and then
this little piece just connects into the wireless approved one, so there's a bunch
of different units that have the wireless, so you can make sure that it
has the wireless icon and then you just plug that in right there, and then
they'll talk to each other. so if you're interested in purchasing any of the tens
EMS units you can just click on the link up there. so once you get everything kind
of connected in, still don't turn it on yet, you're gonna put it on and then
we'll turn everything on. so I'm going to show you kind of setup for the tennis
elbow, but it would be the same for the golfer's elbow or even something like
triceps tendonitis if you had something going on with your elbow there as well.
so you can put the electrode or the pad on a couple different ways. you can wrap
it around like this kind of right on that lateral epicondyle or the medial
epicondyle, but I found for me personally, I liked it a little bit better longer
because it not only covers the epicondyle where all those tendons come
in and attach where that irritation is, but it comes down into the muscle belly
a little bit too. so for the tens, you really want to do
that because that's going to help with that pain. so with the tens, it really is
for pain control and to increase circulation. so tens is different than
the EMS. tens is a transcutaneous electrical nerve stimulation, so it's
just getting those surface nerves. so if you have a contraction if you see a
muscle contraction, like a big contraction, when you're doing the tens
it's either on too high, or your placement isn't quite right. for a
contraction, you want to use the EMS the electrical muscle stimulation because
they are different currents. so even though you can get a contraction with
the tens, you should really use the EMS if that's what you're using because for
the tens, you want it to be relaxed and you want it to be comfortable. you don't
want it to be super painful. and when you're trying to get the muscle
contraction with the EMS, it's it's pretty uncomfortable and sometimes just
a little bit painful. so once you get it set up, then there's a little on button
here that you're going to turn on to turn this piece on, and then you're going
to turn the unit on. and so you can see here that it has the little red light
that's on, and then the green light came on saying it was Wireless, and then the
blue is on for the channel a. if you want to do channel B, you just hit the middle
button. so if I had to they both could be on a, and that you just have to use a or
if you wanted it maybe stronger here and less here you could do channel a and
then channel B and then increasing intensity separately for each one. so
that's kind of a nice component as well because you might want it a little bit
stronger on the muscle belly versus right at the bone joint, so it's a nice
kind of component to be able to do it that way. so we're just the same with the
TENS / EMS that once you get everything set up, the top ones here are more for the
tens and then there's some that are lower down for the EMS, and we'll talk about
that in just a second. so a lot of times people say well which one should, which
setting, which modes should I use? you know they they give you a lot of choices
and some people might tell you this one's for this way frequency, you should
use this one this way, but honestly I really think whatever one is most
comfortable for you because tens is supposed to make it feel better. it's
supposed to be comfortable, maybe a little painful but
that good hurt, not just hurt hurt. so I would go through each mode and just try
it a little bit. so with this one you just hit the M and that changes the mode,
and the plus and minus is the intensity, and the T is just for the timer up top
there. so once I get to a different mode I just start pressing it and even just
one I can feel it there, so as you can look and see there's no muscle
contraction there, and maybe that's just not the one I like this one's just kind
of almost like it's just kind of poking at me, so I'm just going to move on to
the next one, and then you each time you move it it starts back over with
intensity which is nice because then you don't end up having it higher on one a
minute jumping really high to the next one. so it kind of starts over with that
which is nice. I'm going to go back to the first one here, and I'm gonna start
turning it up a little bit, and so I'm gonna see if I can get a muscle
contraction and just show you what I'm talking about with the tens because you
you can especially if you don't have a lot of tissue in that area, but again if
you're using it for tens, it really shouldn't be contracting or that muscles
shouldn't be jumping because then you're just fatiguing the muscle out. so there
we go I don't know if you can see that a little bit, but there's a little bit of a
contraction there, and so that's definitely too much. so I would just
either take it back down again to that comfort level because that was a
little bit painful, or if I needed to move that electrode pad, I could just a
little bit so that's that's really cool. and then if I wanted to do the EMS, I
wanted to get that muscle contraction, the settings here there is the ones for
strengthening usually either has a person doing barbells or actually just
barbells here, and so that's mode ten so I'm gonna take it to mode ten and just
show you really quickly the EMS which is the electrical muscle stimulation. so for
this you you really do want to get it on the muscle belly. so let's say I wanted
to now work those wrist extensors this is probably something you want to do
later if they're really irritated. you don't want to do this in the beginning,
but these extensors come through here,
so I might even put it just a little bit higher where that bulk of that muscle is.
and if you pull your wrist up sometimes you can find that bulk right there and
then once you get it nice and set up, I'm on the electrical muscle stimulation and
then again I just start taking it up. so with this one for the for the muscle
stimulation, it is gonna be painful, it's gonna be really uncomfortable. so what
you want to do is you want to go until you get a really strong contraction, and
see how my hand just came up? I didn't actively do that, that was
done by the the... and see how it just dropped down? I'm not doing. that that's
the EMS doing it. so when you get to that point, it's working those muscles and
it's it's a little uncomfortable now. it's tolerable, but you really want it to
be strong. so I say go as high as you comfortably can, and then try and click
one more to get that extra strengthening in there.
but make sure when you're using the EMS especially, but the tens as well, if you
have had an injury especially if you've had a surgery, make sure you talk with
your healthcare professional, your doctor, your physical therapist, you know to make
sure that it's okay to use because there are some injuries, there are some
conditions that you might have where you shouldn't use a TENS or an EMS unit. so
just make sure that you're using it appropriately, how you're supposed to. so
now I'm going to show you how to use the tens with the wired ones. so it's nice
because with the the wired ones you have two channels, so one channel has two
electrodes, and then the two channels have four electrodes. so what's really
nice about that is let's say your elbow pain is the whole elbow. so maybe it's
tennis elbow. maybe it's golfer's elbow. maybe it's just the whole elbow hurts. so
four electrodes would be better because you can kind of get more area with the
four electrodes. so what I would do with that is when you have four you want each
channel to cross. so if I have this first channel, I want it to be one on this side
and one on that side, but I don't want them just to be here and then them there
because then they're not going to cross and get that whole area. so I would just
kind of get the whole general area kind of here and then cross the
one up on top maybe over here. and then same thing that I would take the channel
to with the other electrodes and now cross it the other way. so then I'm
getting that cross channel. so it's really getting that whole elbow area and
the cool thing with ten's is the placement doesn't have to be exact. when
you're doing the EMS, it should be a little bit more exact because you're
going on the muscle belly, but with the tens, you're really just trying to get
the general area for the pain. so you can see here once again these are crossing
and then these are crossing here. so when you turn it back on, you want to go back
to the tens settings and that's usually those those first ones, and then just
start bringing it. and so again you really shouldn't be having a contraction
in there, and so it should be comfortable you know a little bit slightly
uncomfortable, but not painful. you know this is to really just kind of get
everything nice and relaxed, so that would be the way you do it. now let's say
you wanted to get a little bit more specific you know maybe if it was this
time the golfer's elbow, it would still be the same setup on the outside, but
we're gonna go with the golfer's elbow on the inside here. so I'm just going to
take one channel off and then use the other channel, find which one that was,
and then use the other one to get that specific area.
so if I wanted to get a little more specific, let's say it was hurting right
there, so this time if you're just using one channel with two electrodes and
they're a little bit closer this will make it a little bit stronger. so that's
really just going to be a little more concentrated into that area. so if it's
hurting here, I want that one channel just to be talking to each of those
electrodes back and forth like that. and then so same thing you just kind of
start bringing it up. now you can see here, see what's happening? I'm not doing
that it's kind of pulling forward because I've got it just in a little bit
of a spot where is picking up that nerve. so all you have to do is just take take
the power back down a little bit, and just move it a little bit in a different
spot. so that was probably just hitting that ulnar nerve a little bit and
getting that going. so then you just move it and then start over again, and see so
now now it's not doing that, but I'm feeling that TENS vibration going and
that feels pretty good. so that's how you do it with one channel versus two, and so
you can get the wired if you're just kind of sitting around hanging out, and
if you want to use the wireless it's cool because then you can kind of slap
it on, especially if you have you know a sleeve over it nobody even knows it's
there. it's in your pocket and you can go about doing your thing. and again you can
put it on your back, you can put it on your knee, maybe even down at your ankles.
so you don't have the wires coming all the way up. so it's really neat to have
that Wireless option. so if you're interested in purchasing a healthmate
forever tens EMS unit, make sure and click on the link up there. and don't
forget to subscribe by clicking down there. and remember, be safe, have fun, and
I hope you feel better soon.
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